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Nursing Role—TeacherProfessor Pat Aylward MSN, RN, CNSSpring 2014Case StudyMr. Jackson is a 72 year old African American male admitted with a mild stroke and weakness on his right side. He has been recovering and is preparing to be discharged. He is able to move to a wheelchair with minimal assistance following Physical Therapy. He is now taking Coumadin as a blood thinner and needs instruction about dietary aspects of taking this medication as part of his discharge teaching. He is able to read and write. See the Krames Patient Education handout on the next page to be used with instruction. His wife will assist him with his care. Additional assessment data?Deficit knowledge:________________________ r/t __________________________ A.M.B. ______________________________________________________________New knowledge, attitude or skill to be facilitated?Change in behavior to be promoted for optimal health?Learning domain(s)?Teaching methods?Basic learning principles?Evaluation of learning?Krames Patient EducationKeep Your Diet SteadyKeep your diet pretty much the same each day. That’s because many foods contain vitamin K. Vitamin K helps your blood clot. So eating foods that contain vitamin K can affect the way Coumadin works. You don’t need to avoid foods that have vitamin K. But you do need to keep the amount of them you eat steady (about the same day to day). If you change your diet for any reason, such as due to illness or to lose weight, be sure to tell your doctor.Examples of foods high in vitamin K are asparagus, avocado, broccoli, cabbage, kale, spinach, and some other leafy green vegetables. Oils, such as soybean, canola, and olive oils, are also high in vitamin K.Other food products can affect the way Coumadin works in your body:Food products that may affect blood clotting include cranberries and cranberry juice, fish oil supplements, garlic, ginger, licorice, and turmeric.Herbs used in herbal teas or supplements can also affect blood clotting. Keep the amount of herbal teas and supplements you use steady.Alcohol can increase the effect of Coumadin in your body.Talk with your health care provider if you have concerns about these or other food products and their effects on Coumadin.Keep your diet steady. (2000-2013). In Krames staywell. Retrieved from ................
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